Provider Demographics
NPI:1568420875
Name:TAYLOR COMMUNITY FOUNDATION
Entity Type:Organization
Organization Name:TAYLOR COMMUNITY FOUNDATION
Other - Org Name:TAYLOR HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:610-521-5822
Mailing Address - Street 1:300 JOHNSON AVE
Mailing Address - Street 2:PO BOX 147
Mailing Address - City:RIDLEY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19078-1834
Mailing Address - Country:US
Mailing Address - Phone:610-521-5822
Mailing Address - Fax:610-521-6057
Practice Address - Street 1:300 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:RIDLEY PARK
Practice Address - State:PA
Practice Address - Zip Code:19078-1834
Practice Address - Country:US
Practice Address - Phone:610-521-5822
Practice Address - Fax:610-521-6057
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAYLOR COMMUNITY FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-03
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA152299251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007564370002Medicaid
PA391522AMedicare ID - Type UnspecifiedPROVIDER NUMBER